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A Covalent Allosteric Molecular Glue Suppresses NRF2-Dependent Cancer Growth
Nilotpal Roy1, Tine Wyseure1, I-Chung Lo2
1Vividion Therapeutics, San Diego, California.
Abstract:
The NRF2 transcription factor is constitutively active in cancer, in which it functions to maintain oxidative homeostasis and reprogram cellular metabolism. NRF2-active tumors exhibit NRF2 dependency and resistance to chemotherapy/radiotherapy (RT). In this study, we characterize VVD-065, a first-in-class NRF2 inhibitor that acts via an unprecedented allosteric molecular glue mechanism. In the absence of stress or mutation, NRF2 is rapidly degraded by the Kelch-like ECH-associated protein 1 (KEAP1)-cullin3 (CUL3) ubiquitin-ligase complex. VVD-065 specifically and covalently engages Cys151 on KEAP1, which in turn promotes KEAP1-CUL3 complex formation, leading to enhancement of NRF2 degradation. Previously reported Cys151-directed compounds decrease KEAP1-CUL3 interactions and stabilize NRF2, thus establishing KEAP1C151 as a tunable regulator of the KEAP1-CUL3 complex and NRF2 stability. VVD-065 inhibited NRF2-dependent tumor growth and sensitized cancers to chemotherapy/RT, supporting an open phase I clinical trial (NCT05954312).
Significance:
NRF2 hyperactivation is frequently observed in various solid tumors, including lung, esophageal, and head and neck cancers, highlighting NRF2 as a potential therapeutic target. We report a first-in-class KEAP1-dependent allosteric molecular glue degrader of NRF2, which demonstrated robust monotherapy responses in NRF2-activated cancers and effectively sensitized chemo-refractory tumors to chemotherapy. See related commentary by Hintzen and Burslem, p. 829.
Insights
A new drug, VVD-065, targets the NRF2 pathway by promoting its degradation. This NRF2 inhibitor shows promise in reducing tumor growth and increasing sensitivity to cancer therapies.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- The NRF2 transcription factor is crucial for cancer cell survival, promoting oxidative homeostasis and metabolic reprogramming.
- NRF2-active tumors are often dependent on NRF2 and resistant to conventional therapies like chemotherapy and radiotherapy.
Purpose of the Study:
- To characterize VVD-065, a novel inhibitor targeting the NRF2 pathway.
- To elucidate the mechanism of action of VVD-065 as a first-in-class allosteric molecular glue inhibitor.
Main Methods:
- Investigated the interaction of VVD-065 with KEAP1, specifically at Cys151.
- Assessed the effect of VVD-065 on the KEAP1-CUL3 ubiquitin-ligase complex and NRF2 degradation.
- Evaluated VVD-065's efficacy in inhibiting NRF2-dependent tumor growth and sensitizing cancer cells to chemo/radiotherapy.
Main Results:
- VVD-065 covalently binds to KEAP1 Cys151, enhancing KEAP1-CUL3 complex formation and promoting NRF2 degradation.
- Unlike previous compounds, VVD-065 stabilizes the KEAP1-CUL3 complex, contrasting with Cys151-directed compounds that destabilize it.
- VVD-065 demonstrated inhibition of tumor growth and increased sensitivity to chemo/radiotherapy in NRF2-dependent cancers.
Conclusions:
- VVD-065 represents a novel therapeutic strategy by targeting NRF2 degradation through an allosteric molecular glue mechanism.
- KEAP1 Cys151 acts as a tunable regulator of NRF2 stability, with VVD-065 offering a new approach to modulate this interaction.
- The findings support the ongoing Phase I clinical trial of VVD-065 for cancer treatment.
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